Jackson.pdf

Tiana Jackson, Petitioner V City Of Detroit, Respondent · 26-000267-TT

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Page 1

—

STATE OF MICHIGAN

DOCKET

NUMBER

DEPARTMENT OF LABOR & ECONOMIC GROWTH

PROPERTY TAX APPEAL

NUMBE

MICHIGAN TAX TRIBUNAL

PETITION FORM

SMALL CLAIMS DIVISION

Failure to complete this form, including signature, and return it by filing deadline will result in dismissal.

If additional space is needed to provide the information requested, please use a separate sheet.

1. Petitioner(s} Name and Address

2. Agent or Attorney (if any) Name and Address

Tine

Jackson

2202 OWNS,

Terror tl,

67 2

Petitioner's Daytime Phone No(B12) 208-214

Agent/Attormey Phone No.

(residential, agricultural, personal, commercial, industrial, timber cutover,

3. Classification of property

la) ei Aevial

persanal utility, developmental)

4. Location of Property:

City

NAVD So

Local School District:

county WING.

Township

Did Petitioner protest to the Board of Review?

)

Yes

[)

if no, please check all applicable reasons below and explain in the

space provided.

| The Assessment Change Notice was not properly sent to Petitioner prior to the March Board of Review.

Plpetitioner is appealing within 30 days of issuance of notice of action taken by July or December Board of Review.

[| Petitioner is appealing a Clerical Error or Mutual Mistake of Fact.

(| Petitioner is appealing within 30 days of issuance of a State Tax Commission Order.

[Jpatitioner is appealing within 35 days of receipt of Notice of Taxable Value Uncapping.

Did Petitioner request a Poverty Exemption at the Board of Review?

Yes

[4 )

7. Check the reason for this appeal and explain in the space provided.

Od The property's true cash value and taxable value are incorrect. (SEE Line by Line Instructions.)

Cle property's taxable value only is incorrect.

[the uncapping of the property's taxable value is improper.

Od Petitioner was denied a property tax exemption.

[ Petiioner was denied a poverty axemefion Bato

lt. WAS oY PE oided] Tt was {included with

Two ODI a0

8. Provide the Board of Review's determination of the state equalized or assessed value and taxable value for each parcel, for each tax year being

appealed.

Parcel Number

Tax Year

State Equalized Value or

Taxable Value an Roll

Assessed Value on Roll

11005 Uk

2025 | 2100

4.50%

Page 2

9. Provide Petitioner's contention or belief of the true cash ( fair market) value and taxable value for each parcel, for each tax year being appealed

Parcel Number

Tax Year

True Cash (Fair Market) Value

Taxable Value Contention

Contention

N00 slo

WLS

10.

Explain the basis of your appeal.

Cant ol Salad

Skin

Prdvide

LnCone.

toi is

appeal

itil) Provide

md W-2 for Focther

Prock of

INC omada

11. Does the property have a principal residence exemption of at least 50% for the tax year(s) at issue?

[<3 Yes: Petitioner is not required to pay a fee for the filing of this appeal.

[eo] No: Petitioner is required to pay a fee for the filing of the appeal. (See Fee Schedule.)

Failure to remit a required fee with this Form may result in dismissal.

Amount Paid:

12.

If not using an agent or attorney, Petitioner is required to sign: A

If using an agent or attorney, only agent or attorney is required to sign:

PLEASE RETURN THE ORIGINAL AND ONE COPY OF THIS COMPLETED FORM WITH TWO COPIES OF ANY ATTACHMENTS to: Michigan Tax Tribunal, PO Box

30232, Lansing, MI 48909.

Keep a copy of tha Form and any original attachments for your records.

The Department of Labor & Economic Growth will not discriminate against any Individual or group because of race, sex, religion, age, national origin, color,

marital status, disability or political bellefs.

If you need assistance with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make

your needs known to this agency.

For further information, please contact the Tribunal at:

PH:

(517) 373-3003

Web Site: www.Michigan.govitaxtribunal

E-mail: taxtrib@Michigan.gov

TY262 Revised 01/05

1973 PA 186, As Amended

Page 3

STATE OF MICHIGAN

DEPARTMENT OF LABOR & ECONOMIC GROWTH

PROPERTY TAX APPEAL

DOCKET NUMBER

MICHIGAN TAX TRIBUNAL

PETITION FORM

SMALL CLAIMS DIVISION

Failure to complete this form, including signature, and return it by filing deadline will result in dismissal.

If additional space is needed to provide the information requested, please use a separate sheet.

1. Petitioner(s) Name and Address

2. Agent or Attorney (if any) Name and Address

Tiong lad] L200

Peiilioner’s Daytime Phone No 212) 2.08214

Agent/Attorney Phone No.

(residential, agricultural, personal, commercial, industrial, timber cutover,

3. Classification of property

a) a

Aenisal

personal utility, developmental)

4. Location of Property:

City

J AD i

Local School District:

County, wooly W.

Township

Did Petitioner protest to the Board of Review?

Yes

[-]

if no, please check all applicable reasons bsfow and explain in the

space provided.

[lhe Assessment Change Notice was not properly sent to Petitioner prior to the March Board of Review,

FPpetitioner is appealing within 30 days of issuance of notice of action taken by July ar December Board of Review.

[| Petitioner is appealing a Clerical Error or Mutual Mistake of Fact.

[a Petitioner is appealing within 30 days of issuance of a State Tax Commission Order.

[| Petitioner is appealing within 35 days of receipt of Notice of Taxable Value Uncapping.

Did Petitioner request a Poverty Exemption at the Board of Review?

Yes

(

)

7. Check the reason for this appeal and explain in the space provided.

[lhe property's true cash value and taxable value are incorrect. (SEE Line by Line Instructions.)

Od The property's taxable value only is incorrect.

Cre uncapping of the property's taxable value is improper,

[| Petitioner was denied a property tax exemption.

| EA Potion

was denied

a poverty oxempion- Gado, |i pie. ats nt Py ded TH was

i neue wot

The

BDC er)

8. Provide the Board of Review's determination of the state equalized or assessed value and taxable value for each parcel, for each tax year being

appealed.

Parcel Number

Tax Year

State Equalized Value or

Taxable Vaiue on Roll

Assessed Value on Rofl

16056

2025 | a0

9.5%

Page 4

9. Provide Petitioner's contention or belief of the true cash ( fair market) value and taxable value for each parcel, for each tax year being appealed

Parcel Number

Tax Year

True Cash (Fair Market) Value

Taxable Value Contention

Contention

NY siecle

10.

Explain the basis of your appeal.

“CL Qonr oy Seln|

Cece Shs

Prgvidle

FnCome.

wits Hs

areeq(

{will Provide

md -2 Br Focther Prose of

LNComads

11. Does the properly have a principal residence exemption of at least 50% for the tax year(s) at issue?

®@ Yes: Petitioner is not required to pay a fee for the filing of this appeal.

oO No: Petitioner is required 16 pay a fee for the filing of the appeal. (See Fee Schedule.)

Failure to remit a required fee with this Form may result in dismissal.

Amount Paid:

12,

If not using an agent or attorney, Petitioner is required to sign: Re

Une

If using an agent or attorney, only agent or allomey is required to sign:

PLEASE RETURN THE ORIGINAL AND ONE COPY OF THIS COMPLETED FORM WITH TWO COPIES OF ANY ATTACHMENTS to: Michigan Tax Tribunal, PO Box

30232, Lansing, MI 48909.

Keep a copy of the Form and any original attachments for your records.

The Department of Labor & Economic Growth will not discriminate against any individual or group because of race, sex, religion, age, national origin, color,

marital status, disability or political betiefs.

If you need assistance with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make

your needs known to this agency.

For further information, please contact the Tribunal at:

PH:

(517) 373-3003

Web Site: www.Michigan.gov/taxtribunal

E-mail: taxtrib@Michigan.gov

T1262 Revised 01/05

1973 PA 186, As Amended

Page 5

Coleman A. Young Municipal Center 2 

Phone: (313) 224-3035 

Woodward Avenue, Suite 105 

Fax: (313) 224-4576 

Detroit, Michigan 48226 

www.detroltmi.gov 

Peapeity Arasssment 

Board of Review 

[== "cirvor 

DETROIT 

December 9, 2025 

DISTRICT: 3 

JACKSON, TIANA 

8323 ROYALT 

DETROIT MI 48234 

RE: 

2025 DECEMBER BOARD OF REVIEW PETITION NUMBER: 

~~ D-62646 

Parcel ID: 

17005646. 

LC anaes 

) 

Property Address: 

8323 ROLYAT 

Property Classification: 

401 

In accordance with General Property Tax Act MCL 211.7u, BY REASON OF POVERTY, The December Board 

of Review has considered your 2025 

homeowner's property tax exemption application regarding the above- 

described property. 

The homeowner's property tax exemption has been DENIED. (Reason for denial below) 

2024 Income not provided 

*YOU ARE RESPONSIBLE FOR PAYING FOR THE 2025 SUMMER and WINTER TAXES.” 

If you disagree with the Board of Reviews decision, further appeal may be made to the Michigan Tax Tribunal 

within 30 days of this notice. Information on how to appeal including the petition form are available online at 

www.michigan.qov/taxtrib .You can print the petition that applies to your appeal and mail the completed form 

along 

with 

this 

notice 

to 

Michigan 

Tax 

Tribunal 

at 

P.O. 

Box 

30232, 

Lansing, 

Michigan 

48909. 

Before Appeal 

After Appeal 

2025 

Assessed Value 

27400 

27400 

2025 

Taxable Value 

9508 

9508 

If you have any questions regarding this notice, please contact the City of Detroit Office of the Assessor at 

313-224-3035.

Page 6

Colemana, Young M

nicl

al Center 2

Pho

Prupehx Arsevarent

oO Ate

Woodward Avenue,

105

Fax: (313) 224-4576

Detroit, Michigan 48226

~~ i!

wwwidetroitmi.gov

Board of Review

December9,2025

DISTRICT: 3

JACKSON, TIANA

8323 ROYALT

DETROIT Mi 48234

RE:

2025 DECEMBER BOARD OF REVIEW PETITION NUMBER;

D-62646

Parcel

ID:

17005646.

Property Address:

8323 ROLYAT

Property Classification:

401

In accordance with General Property Tax Act MCL 211.7u, BY REASON OF POVERTY, The December Board

of Review has considered your 2028

homeowner's property tax exemption application regarding the above-

described property.

The ‘homeowner's property tax exemption has been DENIED. (Reason

for dental below} Co

2024 Income not provided

* YOU ARE RESPONSIBLE FOR PAYING FOR THE 2025 SUMMER and WINTER TAXES.*

If you disagree with the Board of Reviews decision, further appeal may be made to the Michigan Tax Tribunal

within 30 days of this notice. Information on how to appeal including

ition form-are available online at

www. michigan.govitaxtrib .You can print the petition that applies:

veal and mail the completed form

along

with

this

notice

Michigan

Tax

Tribunal

P.O.

Box ‘30232,

Lansing;

Michigan

48909.

—~—Bofere-Appoal———--———Aftor

Appeal

2025

Assessed Value

27400

2025

Taxable Value

9508

wast.

9508

If you have any questions regarding this notice, please contact the City of Detroit Office of the Assessor at

313-224-3035.

Page 7

Coleman A. Young Manipal Center 2 Phorié: (313) 224-3035

Woodward Avenue, Sulte

Fax: (313) 924-4576

Detroit, Michigan 48226

wwwidetroltmi.gov

Fiopsit Aniseaiie)

Boag or Roview

December 9, 2025

DISTRICT: 3

JACKSON, TIANA

8323 ROYALT

DETROIT MI 48234

RE:

2025 DECEMBER BOARD OF REVIEW PETITION NUMBER:

D-62646

Parcel ID:

17008646.

Property Address:

8323 ROLYAT

Property Classification:

401

In accordance with General Property Tax Act MCL 211.7u, BY REASON OF POVERTY, The December Board

of Review has considered your 2025

homeowner's property tax exemption application regarding the above-

described property.

The ‘homeowner s Property

| tax exemption has been DENIED. . (Reason for denial below)

2024 Income not provided

~ *YOU ARE RESPONSIBLE FOR PAYING FOR THE 2025 SUMMER and WINTER TAXES.

If you disagree with the Board of Reviews decision, further appeal may be made to the Michigan Tax Tribunal

within 30 days of this notice. Information on how to appeal including the petition form are available online at

www.michigan.gov/taxtrib_.You can print the petition that applies

to your appeal and mail the completed form

along

with

this

notice

Michigan

Tax

Tribunal

P.O.

Box

30232,

Lansing,

Michigan

48309.

Before Appeal

——

After Appeal -

2025

Assessed Vaiue

27400

2025

Taxable Value

9508

If you have any questions regarding this notice, please contact the City of Detroit Office of the Assessor at

313-224-3035.

Page 8

rom W-2 Wage and Tax Statement

aoay

7 Soclal security tips

1 Wages, lips, other Comp.

30007.24;

2 Federal income tax withheld

8 Allocated tips

3 Social security wages

4 Social security 1ax vitbheid

HENRY FORD HEALTH SYSTEM

1629.72

61.04

5 Medi

6 Medicare

tax

withheld

ONE

FORD

PLACE

icare wages an ELE 2

ficare

tax wi

458.63

DETROIT

48202

10 Dependent care bensfits

11 Nenqualified plans

12a See instructions for box 12

§E

1622.48

suf.

[13 Sai

Beret

DAES

[14 oer

120

TIANA JACKSON

8323

ROLYAT

DETROIT

48234

1 Employer identification number EN)

38-1357020

a Emplayee's social secunty fo.

XXX -X¥

15 State

Emplayer's state ID no.

16 State wages, tips etc.

30007.24

17 State income tax

18 Local wages. tips, etc.

30007.24

18 Local income tax

of Local

603. 88[MIDET

Copy B To Be Filed With Employee's FEDERAL Tax Retun

fom W-2 Wage and Tax Statement

This information is being fumished to the Intemal Revenue Service,

OMB Na, 1545-0008

Dept. of the Treasury - IRS

Visit the IRS Web Site al www.irs.gov/enle

Tris information [5 berg furnished (othe In(prat Tive-iie Service Hf you we reosred Infra atac reton,

Fegtgenca panaty tr other sanchcn may be posed en you § hs ines Staal 274 you fel o repo.

208%

7 Social security tips

1 Wages, tips, other “Sfoo7. 24

2 Federal income tax withheld

HENRY

FORD HEALTH SYSTEM

8 Alocated ips

3 Social security wages 31629.72

4 Social security tax withheld

1.04

6 Medicare

tax withheld

ons

FORD BA

5 Medicare wages snd ips.

6.63

OTT

[16 Dopondent

cara baratits

11 Nonqualtiod plans

12a See nstructonsfor box 12

1622.48

e Employee's name, address, and ZIP code

Suff. | 13 Sipe

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TRESS

[44 Other

120

TIANA JACKSON

8323 ROLYAT

DETROIT

48234

a Empl

XXX-]

15 State

Employer's state 10 no.

16 State wages, tips etc,

30007.24

17 State income tax

18 Local wages, tips, tc.

30007.24

19 Local income tax

20 Locality name

603. 88 MIDET

Cony

C For EMPLOYEE'S RECORDS (See Notice fo Employee on back of Copy BJ

rom W-2 Wage and Tax Statement

OMB Na. 1545-0008

Dept. of the Treasury - IRS

20ay

7 Socal security tips

1 Wages, tips, thercomp,

2 Federal income lax withheld

HENRY

FORD HEALTH SYSTEM

ONE

FORD

PLACE

DETROIT

48202

8 Allocated tips

3 Social security wages

4 Social security tax withheld

31628.72

1961.04

§ Medicare wages and tips

6& Medicare tax withheld

31629.72

58.63

10 Dependent care benefits

11 Nonqualfied plans

1622.48

TIANA JACKSCN

8323

ROLYAT

DETROIT

48234

15 state

Employer's state 1D no.

16 State wages, tips, etc.

30007.24

Suff.

FE kK Bremen

Tgp

+ Fentessor identification number EIN)

a Employee 's social secunty na.

XXX-X

17 State income tax

Te Local wages, lips, atc.

14 Other

30007.24

[48 Local income tax.

{20 Locality name

603.88; |MIDET

JER

Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return

—

7 Soci security ips

OMB No. 15450008

Dept. of the Treasury - IRS

"1 Wages, tips, other comp.

2 Federal income tax withheld

rom W-2 Wage and Tax Statement

2024

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Page 9

7 Seclal security tips 

1 Wages, fips, other comp. 

2 Federal income tax withheld 

rom W-2 Wage and Tax Statement 

2024 

30007.24 

© Employer's name, address, and ZIP code 

8 Allocated tips 

3 Social security wages 

. 

4 Social security lax withheld 

HENRY FORD HEALTH SYSTEM 

31629.72 

1961 

ONE 

FORD 

PLACE 

8 

5 Medicare wagosandipe 

2 

6 Medicare tax withheld 158.63 

DETROIT 

MI 

48202 

16 Dependent care benefits 

11 Nonqualified plans 

12a See instructions for pai 

48 

© Employee's name, address, and ZIP code 

TIANA JACKSON 

Suff, 

or Agee 

THrd pity 

1a Sn 

peo 

8323 ROLYAT 

ST 

wn number (EIN) 

DETROIT 

MI 

48234 

a Employee's social security no. 

XXX-XY 

© 

14 Other 

~s state ID no. 

16 State wages, tips, atc. 

30007.24 

15 State 

MI 

17 State income tax 

18 Local wages, tips, etc, 

30007.24 

18 Lacal income tax 

20 Locality name 

603.88 MIDET 

Copy B To Be Filed With Employee's FEDERAL Tax Return 

This information is being fumished to the Intemal Revenue Service, 

OMB No, 1545-0063 

Dept. of the Treasury - IRS 

Visit the INS Web Site at www.bs.goviefile 

This information is berg funisked to Une ter Reverse Service, 

i you are reared oie 2 19< refur, a 

régigence penalty 

er oar sanction may be bTpoted on you {vs incor lavaia ard you fai te repo A. 

fom_W-2 Wage and Tax Statement 

2024 

7 Social security tips 

1 

W: 

, 

ips, 

othe 

, 

eR 8007 

. 24 

2 Federal income tax withheld 

© Employer's name, address, and ZIP code 

8 Allocated tips 

3 Social security wages. 

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HENRY FORD HEALTH SYSTEM 

oo 31e29.72) 

1961.04 

x 

° 

§ Med 

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6 Medicare 

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edicare tax withhel 

8.63 

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iE 

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i 

DETROIT 

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| 

15 State 

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16 State wages, Ups, otc. 

17 State incom tax 

"18 Local wages, tips, etc, 

19 Local income tax 

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MI 

30007.24 

30007.24 

603.88 MIDET 

ed 

i} 

A 

| 

Copy C For EMPLOYEE'S RECORDS (See Notice to Employee on back of Copy B.) 

OMB Ro. 1545-0008 

Dept. 

of the Treasury - IRS 

fom W-2 Wage and Tax Statement 

2024 

| 

7 Social security tips 

1 

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tips, 

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© Emplayer's name, address, and ZIP cade 

8 Allocated tips 

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HENRY 

FORD HEALTH 

SYSTEM 

| 

31629.72 

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ONE FORD PLACE 

9 

5 Medicare wages ndlps 

9.72 

6 Medicare tax withheld 458.63 

DETROIT MI 

48202 

. 

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Re 

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TT 

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i 

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a Employee's social security no. 

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i 

15 State 

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16 State wages, lips, ele. 

|17 State income tax 

148 Local wages, 

lips, etc. 

[18 Local income tax 

20 Locality name 

MI 

30007.24 

| 

30007.24 

603.88IMIDET 

| 

— 

i 

- 

Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return 

OMB No. 1545-0008 

Dept. of the Treasury - IRS 

rom W-2 Wage and Tax Statement 

7 Social security tips 

1 Wages, tips, other comp. 

2 Federal income tax wilhheld 

202y 

mi 

30007.24

Page 10

Tiana Jockesn 

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